Heater-cooler devices used in cardiac surgery 를 위한 안전성 경고 / 현장 안전성 서한

Medicines and Healthcare products Regulatory Agency에 따르면, 해당 안전성 경고 / 현장 안전성 서한 는 United Kingdom 에서 Maquet 에 의해 제조된 제품과 관련되어 있습니다.

이것은 무엇인가요?

현장 안전성 서한은 의료기기 제조사 또는 제조사 대리인이 시중에 유통되고 있는 자사 의료기기 제품에 대하여 취할 수 있는 조치를 알리는 소통방식입니다. 주요 대상층은 보건의료업계 종사자와 의료기기 사용자들입니다. 여기에는 회수(recall) 조치와 경고도 포함될 수 있습니다.

데이터에 대해 더 자세히 알아보기 여기
  • 사례 유형
    Safety alert / Field Safety Notice
  • 날짜
    2016-12-13
  • 사례 출판 날짜
    2016-12-13
  • 사례 국가
  • 사례 출처
    MHRA
  • 사례 출처 URL
  • 비고 / 경고
    Data from the United Kingdom is current through April 2019. All of the data comes from the Medicines and Healthcare products Regulatory Agency, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of recall data from the U.S. and the United Kingdom.
  • 데이터 추가 비고
    MHRA issued a Medical Device Alert (MDA) on 11 June 2015 concerning all manufacturers of heater-coolers and the risk of patient infection with Mycobacterium species; this advice remains current.This information has highlighted an infection risk to open-heart surgery patients called non-tuberculous Mycobacterium (NTM).If the disinfection and maintenance procedures are not strictly followed, organisms can multiply in heater-cooler devices and a biofilm can be formed. The biofilm provides an opportunity for bacteria, including Mycobacteria, to colonise the device. Once colonised, there is a possibility that bacteria can become a source of patient contamination due to aerosolisation when the heater-cooler device is used, or contamination can spread during operational management of the device.
  • 원인
    Updated advice from manufacturers on device management for systems known or suspected to be contaminated with mycobacterium chimaera.
  • 조치
    Notify the manufacturer and MHRA:of any heater-coolers known or suspected to be contaminated with Mycobacterium chimaera. The devices should be removed from service if you observe specific risks associated with the use of the heater-coolersNotify Public Health England and MHRA of any cases where patients have been infected with Mycobacterium chimaeraEnsure that the people responsible for operating and maintaining heater coolers are aware that specific advice has been issued by LivaNova (Sorin) and Maquet – details below.

Device

  • 모델명 / 제조번호(시리얼번호)
  • 제품 설명
    LivaNova (Sorin) has issued operational advice for the 3T heater cooler unit. Maquet has updated the HU35 cleaning and disinfecting instructions and will issue updated instructions for the HCU20, HCU30 and HCU40 soon.
  • Manufacturer

Manufacturer

  • 제조사 주소
    Sorin Group Deutschland GmbH (LivaNova) Christian Peis Director Quality Assurance Tel: +49 89 323 01 152Email christian.peis@livanova.comMaquet Bernd Rakow Director Regulatory Affairs Tel: +49 7222 932 1374Email bernd.rakow@getinge.com
  • Source
    MHRA